| The Simple Predictive Factors of Emergency Endoscopy for Non-variceal Acute Upper Gastrointestinal Bleeding |
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Seung Min Lee, Sang Ho Lee, Sung Jun Kim, Hye Won Park, Hyoung Su Kim, Kyoung Ho Kim, Myoung Kuk Jang, Jin Heon Lee, Hak Yang Kim, Woon Geon Shin |
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Department of Internal Medicine, Hallym University College of Medicine, Seoul, Korea. sgun91@medimail.co.kr |
| 비정맥류 급성 상부위장관 출혈에서 응급 내시경 검사의 필요성을 예측할 수 있는 간편한 인자 |
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이승민, 이상호, 김성준, 박혜원, 김형수, 김경호, 장명국, 이진헌, 김학양, 신운건 |
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한림대학교 의과대학 내과학교실 |
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| Abstract |
BACKGROUND/AIMS
Although endoscopy is an important diagnostic method for acute upper gastrointestinal bleeding (AUGIB), the guideline of emergency endoscopy for AUGIB is not yet established. This study was performed to assess the predictive factors of emergency endoscopy for non-variceal AUGIB. MATERIALS AND METHODS: From June 2006 to December 2008, the medical records of 283 patients with non-variceal AUGIB treated in Kangdong Sacred Heart Hospital were retrospectively analyzed. Patients were divided into two groups: emergency endoscopic procedure group or non-procedure group. We compared the factors for predicting the necessity of emergency endoscopic hemostasis. RESULTS: Among 283 patients, 194 were in the emergency endoscopic procedure group and 89 were in the non-procedure group. No significant differences in age, co-morbidities, drug history, and chief complaints were observed. After adjustment of several factors including syncope, systolic blood pressure, nasogastric (NG) tube irrigation and digital rectal examination findings, hemoglobin decline of more than 2 g/dL after 6 hours, prothrombin time, BUN and BUN/creatinine ratio that showed significant differences between the two groups, bloody NG aspiration was the only significant predictive factor (hazard ratio 13.69: P<0.001). CONCLUSIONS: Bloody NG aspiration was a simple factor for predicting emergent endoscopic procedure in non-variceal AUGIB patients. |
| Key Words:
Gastrointestinal hemorrhage; Endoscopy; Intubation, gastrointestinal |
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